Individual provider Active NPI

Caroline Anne Cunniff, APN

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1780912964
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00252900 Issued in NJ
Practice address
495 Iron Bridge Rd
Suite 1
Freehold, NJ 07728-3069
Phone
(732) 577-0047
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00252900 NJ Primary

Addresses

Primary practice location

495 Iron Bridge Rd
Suite 1
Freehold, NJ 07728-3069

Mailing address

516 Bangs Ave
Asbury Park, NJ 07712-6902
Phone (732) 774-0262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929002218 NJ Practitioner - Nurse Practitioner 5890082143 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Mar 6, 2018 Accepting new patients
Integrated Wound Care New Jersey CurrentSince Jan 1, 2018 Accepting new patients
Integrated Podiatry Services, PC Past Accepting new patients
Watchung Pediatrics Past Accepting new patients

Locations

516 Bangs Ave
Asbury Park, NJ 07712
Phone (732) 774-0262

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

350 Oxford Rd
Oxford, NJ 07863
Phone (908) 453-7700

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Interoperability endpoints

  • Direct secure messaging: ccunniff@direct-address.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: caroline.cunniff@direct.hackensackmeridian.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1780912964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BANGS AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126902",
            "telephone_number": "732-774-0262",
            "fax_number": "732-775-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE 1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283069",
            "telephone_number": "732-577-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNIFF",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00252900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.